• Consulting
  • Clearwater
  • Close: 2019-07-11
Job Description and Responsibilities : 

Responsible for maintaining location database for the Managed Care team, submitting notifications of changes to Enterprise’s managed care organization partners, as well as timely completion of credentialing and disclosure of ownership applications.

  • Prepare responses to Credentialing Applications and Disclosure of Ownership Forms solicited by MCOs in a professional and timely manner 
  • Develop appropriate library of responses to simplify the process
  • Follow up with these organizations on a regular basis to keep them apprised of any changes to the location roster
  • Conduct routine analysis on contracted MCOs (revenue, product class utilization, etc.)
  • Keep accurate records of all applications/changes submitted, follow up with centers on status and issue regular status reports
  • Process the paperwork flow and maintain the managed care database
  • Extract data from the managed care database, analyze and present findings to the Managed Care Director as needed
  • Keep accurate records of location codes and work with billing centers to improve notification time frame for changes
  • Coordinate application signatures and distribution to applicable parties
  • Assist the department assistant with updating existing license, W-9, Medicare and location service area information

Requirements : 
  • Must be at least 18 years of age
  • Ability to work independently
  • Detail-oriented
  • Ability to communicate with internal departments, field staff, legal staff and managed care organizations (MCO)
  • Ability to prioritize and handle multiple projects in a fast-paced environment
  • Ability to work a variety of word-processing, spreadsheet, and database software programs (i.e. Excel, Word, Access)
  • Excellent organization skills
  • Computer skills (Excel, Word, Access, Adobe)
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
  • Ability to write routine reports and correspondence
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
  • Ability to compute rate, ratio, and percent, as well as to draw and interpret bar graphs
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram.
  • Ability to deal with problems involving several concrete variables in standardized situations

Education and Experience:

  • High school diploma or general education degree (GED) required
  • Some college level courses, A.S., or B.S. Degree preferred 
  • Must have at least 2-3 years of experience working in an office environment and basic skills in Microsoft Office and Adobe
  • Prior experience in home healthcare and/or managed care preferred

Lincare offers excellent salaries, world-class benefits, and unparalleled opportunities for development - all to create an invigorating and satisfying work environment. Lincare is an equal opportunity, access, and affirmative action employer.  All qualified applicants will receive consideration for employment regardless of race, color, religion, creed, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.  Lincare provides reasonable accommodations for qualified individuals with disabilities.  Since Lincare believes in providing a safe work environment, the company conducts drug and background checks during the recruiting/hiring processes.  AA/EOE, M/F/D/V

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